不同方法治疗盆腔炎所致不孕症的疗效对比研究

The Contrast Study of Curative Effect for Pelvic Inflammatory Disease Complication with Barrenness

目的:探讨不同方法治疗盆腔炎所致不孕症的临床疗效差异。方法:选取2009年2月～2011年2月期间,经临床及影像学证实的盆腔炎所致不孕症患者96例,按照随机数字表法将患者分为三组:腹腔镜治疗组,介入治疗组及保守治疗组,统计治疗后1年内三组怀孕人数,比较三组患者治疗后临床疗效、输卵管造影结果及治疗后1年内怀孕率的差异。结果:基层医院盆腔炎所致不孕症主要发生在22～36岁之间的育龄妇女;致病菌以革兰氏阴性菌感染为主。腹腔镜治疗组,介入治疗组治疗后临床疗效无明显差异(P>0.05),保守治疗组临床疗效结果明显差于腹腔镜治疗组及介入治疗组(P<0.01);治疗后介入治疗组及腹腔镜治疗组输卵管较保守组明显通畅;三组患者1年后怀孕率由高到低分别为腹腔镜治疗组,介入治疗组及保守治疗组。结论:盆腔炎所致不孕症应该进行积极治疗,保守疗法临床疗效较差;腹腔镜治疗,介入治疗都能取得良好临床疗效,再通输卵管,但腹腔镜治疗对提高患者怀孕率高于介入治疗机保守治疗,值得在临床推广。

Objective：To investigate the curative effect difference for pelvic inflammatory disease complication with barrenness.Methods：96 cases patients,who were confirmed pelvic inflammatory disease complication with barrenness in our hospital were collected from February 2009 to February 2011.The patients were divided into 3 groups：laparoscopic treatment group,intervention group and conservative treatment group;the pregnancy rates were statistician after 6 month;Clinical efficacy,HSG results and pregnancy rate were compared in 3 teams.Results：The primary hospitals pelvic inflammatory disease occurs mainly in women of childbearing age between 22 to 36 years old.There was no significant difference in clinical efficacy between laparoscopic treatment group and the intervention group（P〈0.05）,there were a significant difference in clinical efficacy between conservative treatment group and the other teams（P〈0.01）;After treatment,the clear condition of oviduct were improved markedly in laparoscopic treatment group,intervention group;The pregnancy rates in the three groups from high to low were laparoscopic treatment group,the intervention group and the conservative treatment group after 6 month.Conclusion：Pelvic inflammatory complication with barrenness should be actively treated;Laparoscopic treatment or interventional treatment can achieve a good clinical efficacy and repatency the salpinx;However,compare to intervention group,laparoscopic treatment contributes,moreover,to fetation,which is worth of spreading.